Active NPI
Kakish MD PC
- Critical Care Medicine (Internal Medicine) Physician
- Omaha, NE
National Provider Identifier
1861799017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 22576
- Legal business name
- KAKISH MD PC
- Practice address
- 14440 F St Ste 121
Omaha, NE 68137-1005 - Phone
- (402) 933-4450
- Fax
- (402) 933-4490
- NPI assigned
- Feb 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eyad F Eyad, M.D.
- Title
- President
- Phone
- (402) 397-5462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 22576 | NE | Primary |
Addresses
Primary practice location
14440 F St Ste 121
Omaha, NE 68137-1005
Mailing address
14440 F St Ste 121
Omaha, NE 68137-1005
Phone (402) 933-4450
Other names 1
- Omaha Health Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110405000774 | NE | Part B Supplier - Clinic/Group Practice | 5092999755 |
Receives reassigned benefits from 11 practitioners Practice locations: Omaha, NE |
National Provider Directory
National Provider DirectoryLocations
14440 F St
Ste 121
Omaha, NE 68137
Phone (402) 933-4450
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1336558220
Multi-Specialty, NE
-
- Family Medicine Physician
- Omaha, NE
- NPI 1790767713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712880000000",
"number": "1861799017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14440 F ST STE 121",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371005",
"telephone_number": "402-933-4450",
"fax_number": "402-933-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14440 F ST STE 121",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371005",
"telephone_number": "402-933-4450",
"fax_number": "402-933-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAKISH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-24",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A",
"authorized_official_last_name": "EYAD",
"authorized_official_first_name": "EYAD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-397-5462",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NE",
"license": "22576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omaha Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.